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Best Prior Authorization Products

Best Prior Authorization Products

Currently, we have identified 24 digital solutions in the prior authorization space, many of which integrate with leading systems like Epic, Cerner, Meditech, Allscripts, McKesson and others. This means you can choose a prior authorization solution that meets the unique needs of your healthcare organization and patients. 

What’s more, our verified client data for these solutions shows that dozens of health systems are already using prior authorization solutions. This demonstrates the growing acceptance of this technology among healthcare providers as a means of improving patient outcomes and reducing healthcare costs.

Prior authorization is a crucial management process in healthcare that ensures healthcare providers receive approval from payers before delivering specific services, preventing lost revenue and reducing expenses. AVIA Marketplace offers a range of digital health solutions and software designed to streamline the prior authorization process, enabling healthcare providers to focus on delivering quality care to their patients.

On this page, you'll find a curated list of prior authorization solutions, software, and tools that automate prior authorization requests, streamline workflows, and reduce administrative burdens. Our solutions help healthcare organizations to save time and resources, avoid denials and delays, and improve overall revenue cycle management.

At AVIA Marketplace, we're committed to providing the information and resources needed to make informed decisions about the right prior authorization software, solutions, and tools to implement in your healthcare system. Browse our listings and learn more about how our solutions can help streamline your revenue cycle and improve your bottom line. Search AVIA Marketplace for the top prior authorization solutions from leading vendors in the industry. 

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22 products
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Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
5+ years in business
5+ years in business
Rated In Top 10%
Rated In Top 10%
Versatile platform
Versatile platform
5+ years in business
5+ years in business

The Mytonomy Cloud for Healthcare is an end-to-end enterprise platform to educate and engage patients from Discovery to Recovery with high-quality video content and intelligent engagement. 

We are both a content producer and a cloud software provider, enabling unique benefits.

  • Mytonomy produces evidence-based, cinematic quality, microlearning patient education (short 1 to 3-minutes) via 4000 broadcast ready videos today (and growing). We also produce appealing and consumer friendly written materials that drive engagement and are fully harmonized with our video patient / member education library.
  • We deliver our content, your content and any 3rd party content to patients on behalf of the provider, through our modern, cloud-based streaming platform that has unique engagement capabilities throughout.
  • Providers can upload additional videos or handouts at any time and these are delivered alongside Mytonomy's award-winning libraries, spanning ALL major conditions and procedures such as Ortho, Cardiac, Oncology, Neuro, Labor and Delivery, GI and much more. 

Mytonomy's studio can easily update and change any off-the-shelf content to personalize and tailor the solution to meet your organization's needs.

  • Our easy-to-use user interface leads to high user engagement rates, forming a foundation for your patient shared-decision making, marketing outreach and digital front-door, or enterprise-wide patient education and engagement approach that modernizes ambulatory and inpatient pre/post visit preparation and discharge. 

We routinely help clients consolidate legacy education vendors and replace them with Mytonomy's single platform helping to reduce unnecessary costs and modernize.

Mytonomy goes beyond white-labeling to tailor and personalize the libraries to your institutional needs. 

  • We support any level of tailoring needed by your institution. We come out of the box with highly diverse content that supports Diversity, Equity and Inclusion (DEI) goals.

Mytonomy Cloud for Healthcare can be used as a stand-alone portal or integrated with your EHR or CRM to trigger content automatically.

  • No app to download, as Mytonomy's entire solution is mobile-responsive enabling patients to participate in their decision-making or to receive better discharge and recovery instructions. 
  • All 24/7 on any device at any time including smart TV's, Tablets, Phones and Computers. 

At the end of the day, Mytonomy is helping to drive a better experience and healthier outcomes at home or in the hospital/clinic.

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product capabilities
Accurate & Relevant
Records Historical Context
Interactive & Multimodal
Guided & Personalized
Easy & Simple to Understand
Seamless Care Team Workflows and Accessibility
EHR Integration
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Versatile platform
Versatile platform
Versatile platform
Versatile platform

Koda’s scalable SaaS solution creates clear, actionable care plans that reduce the total cost of care, elevate the patient experience, and improve equity of access. Our solution is a one-stop shop for ACP - where patients understand their options and communicate clear directives- giving providers the necessary information for better, more efficient care.

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product capabilities
Whole person patient care
Caregiver Support
Care Team Workflow Optimization
Interactive & Multimodal
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Versatile platform
Versatile platform
5+ years in business
5+ years in business
Versatile platform
Versatile platform
5+ years in business
5+ years in business
Patients, families, and caregivers use PatientWisdom to upload brief ‘stories’ about themselves, their health, and their care. We run analytics to distill information about what matters to patients, and drive value by integrating actionable insights into everyday workflows. Intuitive high-level visualizations are coupled with the ability to access patient-level detail. PatientWisdom is mobile-responsive, and we offer seamless integration with electronic health record systems and patient portals.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Versatile platform
Versatile platform
5+ years in business
5+ years in business
Versatile platform
Versatile platform
5+ years in business
5+ years in business
WiserCare’s interactive patient decision support platform delivers actionable insight on patient goals, preferences and barriers to drive smarter treatment choices.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Versatile platform
Versatile platform
5+ years in business
5+ years in business
Versatile platform
Versatile platform
5+ years in business
5+ years in business

Advance Care Planning (ACP) - the ongoing discussion and documentation of a patient’s goals, values and preferences for care - ensures that people receive the care they want, alleviates stress for families and care teams, and reduces the cost of unwanted, non-beneficial care. Despite its value, this critical service can prove difficult to deliver at scale. WiserCare makes it possible. 

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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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5+ years in business
5+ years in business
5+ years in business
5+ years in business
Vynca’s Emergency ACP eRegistry solution standardizes goals of care conversations and helps healthcare organizations digitally document care preferences. When vulnerable individuals are able to discuss and document future care wishes, appropriate care can be delivered. Vynca can quickly work across networks, and with healthcare organizations to stand up an emergency ACP web portal and registry. This helps standardize advance care planning across an organization or multiple organizations, and identify patients who would prefer less aggressive care, helping prevent ICU surge situations and ventilator allocation.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Versatile platform
Versatile platform
5+ years in business
5+ years in business
Versatile platform
Versatile platform
5+ years in business
5+ years in business
Vynca offers a complete end-to-end EHR-integrated advance care planning solution for hospitals and health systems. From shared decision making around advance care planning to digital completion of documents – POLST, advance directives and others – we make these digitally available to all clinicians, patients, and their selected caregivers.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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5+ years in business
5+ years in business
5+ years in business
5+ years in business
AlixaRx, a new pharmacy and clinical pharmacist services company, was created with the direct input of patients, nurses, therapists, physicians and pharmacists. It is a collaboration of innovative thinking focused on improving access, increasing safety and maximizing time and cost savings. Their goal is to significantly transform medication management in post-acute long-term care. Through their clinical pharmacist consulting services, seamless software integration and premier remote automated dispensing technology AlixaRx ensures that the right dose of the right medication is administered to the right patient at the right time for the right reason. The impact on patient care, time savings and cost reduction is both meaningful and measurable.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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5+ years in business
5+ years in business
5+ years in business
5+ years in business
Amplion Clinical Communications (Amplion) specializes in developing and implementing wireless patient care communication technology. They make patients safer, nurses more organized, and hospital management more informed about care needs and completed c...
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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Versatile platform
Versatile platform
Versatile platform
Versatile platform
The product is an implementation of a custom LLM ( ChatGPT...) in the clinical workflow for an identified use case for patient engagement. This can be in the Cloud environment and integrated with the EMR/EHR system.
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key clients
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
Leading Health System
Health system
+50 verified clients
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on compatibility level and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.

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Buyer's Guide


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A Buyer's Guide to

Prior Authorization

Prior authorization is a management process by which health care providers obtain approval from payers before delivering specific services in order to prevent lost revenue and reduce expenses.

What is prior authorization?

Prior authorization-sometimes called precertification or prior approval-is a management process by which health care providers obtain approval from payers before delivering specific services in order to prevent lost revenue and reduce expenses. When patients seek prior authorization-typically for more complex or costly treatments or prescriptions-payers may approve or deny requests, ask for more information, or require that the patient receive an alternative treatment before approving the initial request.

How digital prior authorization process works

While the steps remain unchanged between digital and manual processes, an end-to-end automated solution alleviates the administrative burden and virtually eliminates errors that can lead to delays and denials.
  1. Determine prior authorization requirements. The leading solutions continually scrape payer sites to maintain real-time information on tens of thousands of payer policies.
  1. Complete the prior authorization form. Intelligent prior authorization software identifies and fills out the appropriate prior authorization form based on the patient’s specific payer requirements.
  1. Collect the appropriate documentation. The leading solutions automatically collect and append clinical documentation from the EHR. Staff can review and validate information prior to submission.
  1. Submit the request for prior authorization and monitor for status updates. After staff review and approve the request, it’s automatically submitted through the appropriate web portal. An intelligent dashboard displays real-time status updates.
The case for digital prior authorization
The current prior authorization process is extremely burdensome and time-consuming-the average physician must complete 41 prior authorizations per week, which translates into about 14 labor hours just for completing prior authorizations, according to a 2020 American Medical Association survey. It's also one of the most costly administrative transactions, with an average expenditure of about $11 for each request. But the prior authorization landscape is changing, and the lost time and sunk costs are decreasing as intelligent automation becomes commonplace.
While a manual prior authorization takes an average of 21 minutes, a digital transaction can be completed in about four minutes, with fewer denials and faster turnaround time.


We've seen a steady shift in the industry-the results are undeniable. Health systems are turning increasingly to digital prior authorization solutions that leverage robotic process automation (RPA) to generate, submit, and monitor the status of prior authorization requests. Organizations doing this well are seeing millions of dollars in additional revenue.
Patrick Higley
—Patrick Higley
Vice President, AVIA

What leading digital prior authorization solutions offer

  • Requirements identification: Top solutions automate whether a prior authorization is required and can identify payer-specific rules without additional manual research from staff.
  • Requirements knowledge base: The prior authorization requirements knowledge base should be continually and automatically maintained, with minimal (if any) support from the health system.
  • Automated form completion: Leading prior authorization solutions integrate with the EHR and leverage structured and unstructured data to populate the appropriate fields and save time for physicians and staff.
  • Forms library: End-to-end solutions should include a forms library, where necessary payer-specific forms can be created and maintained.
  • Documentation collection: Intelligent documentation collection automatically pulls necessary documentation from the EHR and helps reduce denials based on incomplete or missing information.
  • Automated request submission: Capabilities should include automated submission on behalf of the provider through efax, payer portals, third-party sites and other access points.
  • Status monitoring: The leading solutions offer continuous status monitoring and push update and other relevant information back to the appropriate work queues and fields in the EHR.
digital prior authorization
Organizing for digital prior authorization
success in your health system


Before implementing end-to-end automation in the prior authorization process, hospitals and health systems must:
  • Have a mature EHR with no planned changes in the near future.
  • Ensure that prior authorization practices are documented and standardized.
  • Obtain organizational buy-in from revenue cycle leadership and operations.
Other capabilities that health systems should deploy to successfully implement digital prior authorization include:
  • Mechanisms to track prior authorization performance at the department and leadership levels.
  • Integration with business systems like EHRs, call center tools and customer relationship management-this eliminates duplication of information and ensures accurate data capture.
  • Strong internal communication to educate staff about prior authorization capabilities and appropriately calibrate responsibilities.
  • Open lines of communication across payer relationship and revenue cycle teams to efficiently respond to procedural changes and resolve problems.
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